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Old 06-02-2006, 07:13 AM   #24 (permalink)
madp
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Location: New Orleans/Chicago
Quote:
Originally Posted by fredweena
I believe mine was, "Please, please don't tell me that you're saying that you want to kill yourself because Mommy won't get you a cell phone??!!"

And absorbing the pain and stories of abuse on a daily basis. I ended up on meds myself and I'm okay with that. By the way, I'm still learning about Wellbutrin XL and no one will give me a straight answer about this part... could it really decrease the violent headaches I've had for over two years? The first headache lasted sixteen months without a pain free day. About six months after I started taking it, I got more frequent breaks in between headaches, when I did get a day or two. I take a really long time to adjust to medications that are designed to affect mood. But I've been on it for a year and a half and now the headaches seem to come once or twice a week rather than every single day. I'm just curious. For the headaches, they (GPs) gave me Depakote and after four doses I thought I was having a psychotic break. With Neurontin, my ADHD went through the roof to the point that I was a dangerous driver. When a neurologist handed me a Topamax rx, I laughed, tossed it in the trash and walked out. Nooooo more of those, please. *shudder*

Oh, and it didn't help me quit smoking.

Fred, I haven't used Wellbutrin for migraine prophylaxis. From my experience, my reading of the literature, and consultation with headache specialists, the consensus seems to be this:

Topomax is the first line agent, as it will result in about a 50% reduction in headache frequency for 50% of the patients who take it (and it can also cause you to lose weight, but can adversely affect your short-term memory);

Zonogran is a very similar agent to Topomax in terms of side effect profile, but perceived to be slightly less effective;

Depakote might be the most effective agent, but it can cause weight gain and most migraineurs are women;

Amitriptyline (brand name Elavil) is an old tricyclic antidepressant which also has good efficacy in migraine prophylaxis, but is pretty sedating.

If I were you, I'd use whatever works for me. If the Wellbutrin doesn't work in the long term, I wouldn't be shy at all about trying Topomax, Zonegran, etc. Also, as for your reaction to Depakote, I wonder if the primary care physician dosed it properly. Migraine doses of Depakote are pretty small to have caused such a dramatic reaction. Also, I would go to a headache specialist rather than a primary care doc if my headaches were so frequent and so debilitating.
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